1. Higher concentrations of vitamin D in Canadian children with juvenile idiopathic arthritis compared to healthy controls are associated with more frequent use of vitamin D supplements and season of birth
- Author
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Elham Rezaei, Alan M. Rosenberg, Susan J. Whiting, Rae S. M. Yeung, Stuart E. Turvey, Hassan Vatanparast, Johannes Roth, Lori B. Tucker, Bianca Lang, Rayfel Schneider, Kimberly Morishita, Jaime Guzman, David A. Cabral, Michael Szafron, Shirley M. L. Tse, Adam D.G. Baxter-Jones, Rosie Scuccimarri, Sarah Campillo, Anne-Laure Chetaille, Anthony Kusalik, Roman Jurencak, Paul Dancey, Elizabeth Stringer, R. M. Laxer, Ross E. Petty, Adam M. Huber, Kristin Houghton, Susanne M. Benseler, Kiem Oen, Farhad Maleki, Karen Watanabe Duffy, Gilles Boire, Ciarán M. Duffy, Sarah L. Finch, Suzanne E. Ramsey, and Gaëlle Chédeville
- Subjects
Male ,0301 basic medicine ,Canada ,Season of birth ,Childhood arthritis ,Endocrinology, Diabetes and Metabolism ,Physiology ,Arthritis ,030209 endocrinology & metabolism ,Autoimmune Diseases ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Immune system ,medicine ,Vitamin D and neurology ,Animals ,Humans ,Juvenile ,Vitamin D ,Child ,Inflammation ,Autoimmune disease ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Infant, Newborn ,Parturition ,Vitamin D Deficiency ,medicine.disease ,Arthritis, Juvenile ,3. Good health ,C-Reactive Protein ,Milk ,Case-Control Studies ,Child, Preschool ,Dietary Supplements ,Cohort ,Female ,Seasons ,business - Abstract
A number of studies have demonstrated that patients with autoimmune disease have lower levels of vitamin D prompting speculation that vitamin D might suppress inflammation and immune responses in children with juvenile idiopathic arthritis (JIA). The objective of this study was to compare vitamin D levels in children with JIA at disease onset with healthy children. We hypothesized that children and adolescents with JIA have lower vitamin D levels than healthy children and adolescents. Data from a Canadian cohort of children with new-onset JIA (n= 164, data collection 2007-2012) were compared to Canadian Health Measures Survey (CHMS) data (n=4027, data collection 2007-2011). We compared 25-hydroxy vitamin D (25(OH)D) concentrations with measures of inflammation, vitamin D supplement use, milk intake, and season of birth. Mean 25(OH)D level was significantly higher in patients with JIA (79 ± 3.1 nmol/L) than in healthy controls (68 ± 1.8 nmol/L P.05). Patients with JIA more often used vitamin D containing supplements (50% vs. 7%; P.05). The prevalence of 25(OH)D deficiency (30 nmol/L) was 6% for both groups. Children with JIA with 25(OH)D deficiency or insufficiency (50 nmol/L) had higher C-reactive protein levels. Children with JIA were more often born in the fall and winter compared to healthy children. In contrast to earlier studies, we found vitamin D levels in Canadian children with JIA were higher compared to healthy children and associated with more frequent use of vitamin D supplements. Among children with JIA, low vitamin D levels were associated with indicators of greater inflammation.
- Published
- 2021
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